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This is VAERS ID 276934

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

276934
VAERS Form:
Age:24.0
Gender:Female
Location:Unknown
Vaccinated:2007-02-14
Onset:2007-02-17
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Erythema, Malaise, Rash

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Sulfonamide allergy; Allergic reaction to antibiotics
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type':

Write-up:Information has been received from a registered nurse concerning a 24 year old female with sulfonamide allergy and allergic reaction to antibiotics who on 14-FEB-2007 was vaccinated intramuscularly with Gardasil (yeast) (0.5 ml). On 17-FEB-2007 the patien"t developed facial redness, malaise and an intermittent widespread rash. The patient was evaluated at a local emergency room and prescribed a course of steroids. The patient was not hospitalized. The patient fully recovered (date unspecified). Additional


Changed on 12/8/2009

276934 Before After
VAERS Form:
Age:24.0
Gender:Female
Location:Unknown
Vaccinated:2007-02-14
Onset:2007-02-17
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Erythema, Malaise, Rash

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Sulfonamide allergy; Allergic reaction to antibiotics
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0703USA05680

Write-up:Information has been received from a registered nurse concerning a 24 year old female with sulfonamide allergy and allergic reaction to antibiotics who on 14-FEB-2007 was vaccinated intramuscularly with Gardasil (yeast) (0.5 ml). On 17-FEB-2007 the patien"t patient developed facial redness, malaise and an intermittent widespread rash. The patient was evaluated at a local emergency room and prescribed a course of steroids. The patient was not hospitalized. The patient fully recovered (date unspecified). Additional information has been requested.


Changed on 9/14/2017

276934 Before After
VAERS Form:(blank) 1
Age:24.0
Gender:Female
Location:Unknown
Vaccinated:2007-02-14
Onset:2007-02-17
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UNK - / IM

Administered by: Other      Purchased by: Other
Symptoms: Erythema, Malaise, Rash

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Sulfonamide allergy; Allergic reaction to antibiotics
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0703USA05680

Write-up:Information has been received from a registered nurse concerning a 24 year old female with sulfonamide allergy and allergic reaction to antibiotics who on 14-FEB-2007 was vaccinated intramuscularly with Gardasil (yeast) (0.5 ml). On 17-FEB-2007 the patient developed facial redness, malaise and an intermittent widespread rash. The patient was evaluated at a local emergency room and prescribed a course of steroids. The patient was not hospitalized. The patient fully recovered (date unspecified). Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=276934&WAYBACKHISTORY=ON


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